The in vivo effects of rafoxanide on the energy metabolism of Fasciola hepatica

Adult F. hepatica were obtained from sheep which had received a single dose of rafoxanide at the therapeutic dose rate (7·5 mg/kg body weight). Flukes were recovered 12 and 24 h after the sheep were treated. No flukes were present after 4 days. Plasma levels of the drug were high after 24 h and remained so at 4 days. Flukes were being expelled from the liver 24 h after treatment. Glycogen levels within the flukes were diminished in the 24 h treated group, as were concentrations of ATP. These effects were not apparent in the 12 h treated group. Fluctuations in glucose, G6P, F6P and pyruvate pools were observed in both groups. The effects of rafoxanide were irreversible after 24 h exposure to the drug. Flukes from the treated sheep were incubated for 6 and 24 h in a simple maintenance medium with added glucose. They showed progressive deterioration in energy status. The results are considered in the context of the mode of action of rafoxanide.